Scott A Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-009980 Issued in IL

Practice address

7715 N Hermitage Ave Apt 2G
Chicago, IL 60626-1078

Phone

(773) 543-7350

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1922209246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 N HERMITAGE AVE APT 2G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261078",
            "telephone_number": "773-543-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 N HERMITAGE AVE APT 2G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261078",
            "telephone_number": "773-543-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-009980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636434",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elyce Thompson, APRN, CNP
• Rena Thompson, APN
• Robert Charles Thompson Jr.
• Roberta J Thompson, MSW
• Satira Latrice Thompson
• Sean Ryan Thompson, MD
• Sherece Balark Thompson, DDS
• Stephanie A Thompson, M.S., CCC-SLP
• Tacadia Thompson, LSW, CD
• Taja Laniece Thompson, PA-C

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.